Comparative analysis between air-free trans-axillary laparoscopic thyroidectomy and open thyroidectomy

doi:10.16139/j.1007-9610.2023.01.14

Abstract

Abstract:

Objective To compare the clinical efficacy between air-free trans-axillary laparoscopic thyroidectomy and open thyroidectomy. Methods A retrospective analysis was performed on the data of both 96 patients who underwent air-free trans-axillary laparoscopic thyroidectomy (laparoscopic group) and 232 patients who underwent open thyroidectomy (open group) from August 2015 to July 2020. Comparative analysis were performed on operative data, the postoperative data of recovery and complications between two groups. Results The operative time in laparoscopic group was longer significantly than that in open group [(168±23) min vs. (95±18) min, P=0.022]. There was no significantly difference in the rate of recognition of recurrent laryngeal nerve between two groups (100.0% vs. 99.1%, P=0.138). The rate of recognition of both superior (98.0% vs. 97.0%, P=0.003) and inferior parathyroid glands (95.8% vs. 99.1%, P=0.028) in laparoscopic group was higher significantly than those in open group. The amount of drain of the first day after operation in laparoscopic group was more significantly than that in open group[(42±22) mL vs. (25±10) mL, P=0.006]. The postoperative length of hospital stay in laparoscopic group was longer significantly [(2.8±0.6) d vs. (1.8±1.2) d, P=0.016]. The cost of hospital stay was (13 186±1 015) yuan vs. (12 632±1 456) yuan （P=0.365） and the rate of postoperative complication was 10.4% vs. 9.1%（P=0.126）, which all showed no significant difference between two groups. Conclusions Air-free trans-axillary laparoscopic thyroidectomy could be feasible and safe, and have better appearance. However, both operative time and hospital stay were longer.

Key words: Trans-axillary, Laparoscopy, Thyroid

CLC Number:

R653

LIAO Wenqiang, LI Qinyu, YUAN Jianming, WU Weize, WANG Mingliang. Comparative analysis between air-free trans-axillary laparoscopic thyroidectomy and open thyroidectomy[J]. Journal of Surgery Concepts & Practice, 2023, 28(01): 83-87.

Figures/Tables 2

References 17

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Item	Laparoscopic group (n=96)	Open group (n=232)	t/χ² value	P value
Surgical time （min）	168±23	95±18	4.16	0.022
Recognize recurrent laryngeal nerve (No)	96（100.0）	230（99.1）	2.41	0.138
Recognize superior parathyroid (No)	94（98.0)	225（97.0 ）	12.42	0.003
Recognize inferior parathyroid (No)	92（95.8）	230（99.1）	4.44	0.028
Drain amount in first postoperative day (mL)	42±22	25±10	5.06	0.006
Postoperative day in hospital (d)	2.8±0.6	1.8±1.2	3.85	0.016
Cost in hospital (Yuan)	13 186±1 015	12 632±1 456	1.23	0.365
Complication (No)	10(10.4)	21(9.1)	2.78	0.126